Concealed reentry: a mechanism of atrioventricular nodal alternating Wenckebach periodicity.

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Concealed reentry: a mechanism of atrioventricular nodal alternating Wenckebach periodicity.

Alternating WEnckebach periodicity is generally believed to reflect bilevel block due to horizontal electrophysiologic dissociation in the conducting tissues. We describe a case of atrial pacing-induced atrioventricular nodal alternating Wenckebach periodicity with concealed reentry in a longitudinally dissociated AV conduction system. Three observations support this unique mechanism: Concealed...

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Manifest and concealed reentry: a mechanism of A-V nodal Wenckebach in man.

In five patients, bundle of His electrograms were recorded during right ventricular pacing at various cycle lengths. In all patients, as the cycle length of stimulation was decreased, the pattern of retrograde conduction proceeded from 1:1 retrograde conduction to retrograde Wenckebach with or without manifest reentry, to retrograde Wenckebach cycles with concealed reentry. The requisite condit...

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Manifest and concealed reentry. A mechanism of AV nodal Wenckebach phenomenon.

The mechanism of the AV nodal Wenckebach phenomenon was studied in 25 dogs by multiple atrial and His bundle electrogram (HBE) recordings. During ventricular stimulation with 1:1 retrograde conduction, the interval from the stimulus artifact to the retrograde His deflection (S-H interval) remained constant. Decreasing the cycle length of stimulation (CLS) resulted in retrograde AV nodal Wenckeb...

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Role of positive feedback in the atrioventricular nodal Wenckebach phenomenon.

In the atrioventricular (AV) nodal Wenckebach phenomenon, there is a progressive increase in the P-R interval and a concomitant reduction in the R-P interval. Two series of experiments were conducted on anesthetized dogs to ascertain whether the changes in the P-R interval depended on the associated changes in the R-P interval. In one series of experiments, the atrium was paced at various basic...

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A Mechanism of A-V Nodal Wenckebach in Man

In five patients, bundle of His electrograms were recorded during right ventricular pacing at various cycle lengths. In all patients, as the cycle length of stimulation was decreased, the pattern of retrograde conduction proceeded from 1:1 retrograde conduction to retrograde Wenckebach with or without manifest reentry, to retrograde Wenckebach cycles with concealed reentry. The requisite condit...

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ژورنال

عنوان ژورنال: Circulation

سال: 1982

ISSN: 0009-7322,1524-4539

DOI: 10.1161/01.cir.65.6.1269